Valid for Submission
H04.419 is a billable diagnosis code used to specify a medical diagnosis of chronic dacryocystitis of unspecified lacrimal passage. The code H04.419 is valid during the fiscal year 2022 from October 01, 2021 through September 30, 2022 for the submission of HIPAA-covered transactions.
The ICD-10-CM code H04.419 might also be used to specify conditions or terms like chronic dacryocystitis, chronic dacryocystitis with fistula formation, chronic inflammation of lacrimal passage, lacrimal fistula or lacrimal sac fistula.
Unspecified diagnosis codes like H04.419 are acceptable when clinical information is unknown or not available about a particular condition. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Specific diagnosis codes should not be used if not supported by the patient's medical record.
The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code:
- Chronic dacryocystitis
- Chronic dacryocystitis with fistula formation
- Chronic inflammation of lacrimal passage
- Lacrimal fistula
- Lacrimal sac fistula
Diagnostic Related Groups - MS-DRG Mapping
|MS-DRG||MS-DRG Title||MCD||Relative Weight|
|124||OTHER DISORDERS OF THE EYE WITH MCC||02||1.3988|
|125||OTHER DISORDERS OF THE EYE WITHOUT MCC||02||0.8354|
The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization.
Convert H04.419 to ICD-9 Code
The General Equivalency Mapping (GEM) crosswalk indicates an approximate mapping between the ICD-10 code H04.419 its ICD-9 equivalent. The approximate mapping means there is not an exact match between the ICD-10 code and the ICD-9 code and the mapped code is not a precise representation of the original code.
Information for Patients
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